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Gastroenterology  (Expert Forum)
 | 
Gall Bladder Symptoms w/o Stones ?
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
This forum is for questions regarding Gastroenterology issues such as Acid Reflux (GERD), Barretts Esophagus, Colitis, Colon/Bowel Disorders, Crohn's Disease, Diverticulitis/Diverticulosis, Digestive Disorders, IBS, Stomach Pain.

Gall Bladder Symptoms w/o Stones ?

by samipili, Jan 29, 2008 12:14PM
I seem to have these recurring gall bladder symptoms usually an hour after I eat - indigestion, burning in abdomen, and a pain right beneath the right shoulder blade. On some occasions, but not all, I feel a dull pain in the direct location of the gall bladder.

I had an ultrasound done of the gall bladder and it showed no stones. Prilosec and Zantac seem to relieve these symptoms, sometimes in short order. Possible to have a gall bladder disorder w/o stones ?

If so, what further tests should I request ?

Thanks ..
  

by Kevin Pho, MD, Jan 30, 2008 07:59AM
Yes, it is possible to have gallbladder symptoms without stones.  

As you mentioned, a low gallbladder ejection fraction can be responsible for your symptoms.  Small studies suggest removing the gallbladder may help.

You may also want to investigate the biliary tree.  An MRCP can be done to exclude stones there.  

These options can be discussed with your personal physician.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patients education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
www.kevinmd.com
Member Comments (2)

by canadianchick05, Jan 29, 2008 04:41PM
To: sampili
I also had numerous ultrasounds and showed no abnormality with my gallbladder. I recently had a HIDA scan performed to show the funtion of the gallbladder and the results came back confirming i have Gallbladder dyskinesia. What that means is that the gallbladder ejection rate is very low 11%. When it should be in the vacinity of 35% or higher.

So i would def recommend you ask for this test and be assured.

i am scheduled for gallbladder removal on Feb 19th but will go to the gastro specialist for a second opinion. i am not sure if it is possible for the ejection rate to improve but will find out tomorrow.

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